15-12B 1 d1512b.htm FORM 15-12B Form 15-12B

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

FORM 15

 

 

Certification and Notice of Termination of Registration under Section 12(g) of the Securities Exchange

Act of 1934 or Suspension of Duty to File Reports under Sections 13 and 15(d) of the Securities

Exchange Act of 1934.

 

 

Commission File Number 1-11625

 

 

 

PENTAIR, INC.

(Exact name of registrant as specified in its charter)

 

 

5500 Wayzata Blvd, Suite 800, Golden Valley, Minnesota 55416-1259

(763) 545-1730

(Address, including zip code, and telephone number, including area code, of registrant’s principal executive offices)

 

 

Common Share Purchase Rights

(Title of each class of securities covered by this Form)

 

 

Common Shares, $0.16 2/3 par value

Preferred Share Purchase Rights

(Titles of all other classes of securities for which a duty to file reports under Section 13(a) or 15(d) remains)

 

Please place an X in the box(es) to designate the appropriate rule provision(s) relied upon to terminate or suspend the duty to file reports:

 

Rule 12g-4(a)(1)(i)   x    Rule 12h-3(b)(1)(i)   x
Rule 12g-4(a)(1)(ii)   ¨    Rule 12h-3(b)(1)(ii)   ¨
Rule 12g-4(a)(2)(i)   ¨    Rule 12h-3(b)(2)(i)   ¨
Rule 12g-4(a)(2)(ii)   ¨    Rule 12h-3(b)(2)(ii)   ¨
         Rule 15d-6   ¨

 

Approximate number of holders of record as of the certification or notice date: 0

 


 

Pursuant to the requirements of the Securities Exchange Act of 1934, Pentair, Inc. has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person.

 

DATE: February 1, 2005

     

By:

 

/s/ Louis L. Ainsworth

           

Name:

 

Louis L. Ainsworth

           

Title:

 

Senior Vice President, Secretary and
General Counsel